Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $108.83 / $108.83	Facility		$44.94	$108.83	$108.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $35.47 / $42.06	Professional		$22.41	$35.47	$42.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $120.69 / $143.30	Professional		$98.06	$120.69	$143.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $60.45 / $102.00	Facility		$38.52	$60.45	$102.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $57.43 / $60.45	Professional		$45.44	$57.43	$60.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $93.08 / $102.51	Facility		$47.99	$93.08	$102.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $47.99 / $47.99	Professional		$47.99	$47.99	$47.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $57.53 / $102.00	Facility		$38.52	$57.53	$102.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $52.93 / $64.64	Professional		$30.86	$52.93	$64.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $80.20 / $116.35	Professional		$54.91	$80.20	$116.35
United Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $25.63 / $48.90	Professional		$24.49	$25.63	$48.90